多普勒超声诊断子宫内膜癌的价值与临床病理的关系研究  

The correlation between the clinical value of Doppler ultrasound in diagnosis of endometrial carcinoma and clinicopathology

作　　者：刘凤霞 魏艳飞 任艳丽 郭海霞 LIU Fengxia;WEI Yanfei;REN Yanli(Department of Ultrasound Diagnosis,Zhangjiakou Hospital for Maternal and Child Health,Hebei,Zhangjiakou 075000,China)

机构地区：[1]河北省张家口市妇幼保健院超声科,075000

出　　处：《河北医药》2022年第7期1053-1055,1059,共4页Hebei Medical Journal

摘　　要：目的分析多普勒超声诊断子宫内膜癌临床价值及临床病理的关系。方法选取2019年6月至2020年11月收治的90例子宫内膜癌患者,均经过手术病理诊断,对患者进行多普勒超声检测、CT检测、MRI检测,对不同诊断方式的结果进行分析和探究。结果多普勒超声诊断符合率为76.67%,相比较于MRI诊断符合率(96.67%)明显较低(P<0.05);多普勒超声诊断符合率76.67%,比较于CT诊断符合率(82.22%),差异无统计学意义(P>0.05);在肌层及宫颈受累诊断中,与手术病理结果比较,多普勒超声检测、CT检测、MRI检测的检出率,差异无统计学意义(P>0.05);多普勒超声诊断淋巴结转移检出率25%,相比较于CT检测、MRI检测检出率75%明显较低(P<0.05);不同年龄段、是否淋巴结转移、以及不同组织学类型患者的多普勒超声参数RI、PI以及MVD水平值比较,差异有统计学意义(P<0.05);而不同病理分期患者、具有肌层浸润深度特征的患者,其多普勒超声参数RI、PI以及MVD水平值对比,差异有统计学意义(P<0.05)。结论在子宫内膜癌患者临床诊断中,MRI检测准确性最高,多普勒超声检测、CT检测稍次之,但多普勒超声检测具有检查便捷、操作简单且无创等特点,同时多普勒超声检测参数与子宫内膜癌患者的病理分期存在密切相关性,对于早期判断患者病情、病理分期具有较高的临床价值。Objective To investigate the correlation between the clinical value of Doppler ultrasound in diagnosis of endometrial carcinoma and clinicopathology.Methods A total of 90 patients with endometrial carcinoma who were treated in our hospital from June 2019 to November 2020 were enrolled in the study.All the patients underwent Doppler ultrasound diagnosis,CT and MRI detection,and the results of different diagnostic methods were analyzed.Results The diagnostic coincidence rate of Doppler ultrasound was 76.67%,which was significantly lower than that(96.67%)by MRI(P<0.05).There was no significant difference in the coincidence rate between Doppler ultrasound diagnosis and CT diagnosis(P>0.05).There were no significant differences in the detection rates of muscular layer and cervical involvement between Doppler ultrasound,CT,MRI and surgical pathological results(P>0.05).And the detection rate of Doppler ultrasound in diagnosis of lymph node metastasis was 25%,which was significantly lower than that(75%)by CT and MRI(P<0.05).There were significant differences in the Doppler ultrasound parameters RI,PI and MVD levels in different age groups,and in patients with different histological types(P>0.05).In addition there were significant differences in the levels of RI,PI and MVD in patients with different pathological stages and patients with the characteristic of muscular layer infiltration depth(P<0.05).Conclusion In the diagnosis of endometrial carcinoma,the detection accuracy of MRI is highest,next Doppler ultrasound and CT detection,but the Doppler ultrasound examination is convenient,simple and noninvasive,and there is a close correlation between the pathological staging of endometrial carcinoma and Doppler ultrasound parameters,which has higher clinical value in evaluating the the disease condition and pathological staging.

关 键 词：子宫内膜癌 多普勒超声 病理分型 肌层浸润深度 微血管密度 

分 类 号：R445.1[医药卫生—影像医学与核医学]